CLORAZEPATE DIPOTASSIUM 11.25MG TAB (5559)    VA PRODUCT (50.68)

Name Value
NAME CLORAZEPATE DIPOTASSIUM 11.25MG TAB
VA GENERIC NAME CLORAZEPATE
DOSAGE FORM TAB
FDA MED GUIDE Clorazepate_(Generic)_(2022).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 11.25
INACTIVATION DATE 2011-04-07 00:00:00
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME CLORAZEPATE TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CLORAZEPATE DIPOTASSIUM 11.25MG TAB
VA PRODUCT IDENTIFIER C0893
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4006086
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-04-07 00:00:00
    STATUS:   INACTIVE